Look up the most recent NPI and PECOS records

Angel Hearts Mental Health

Counselor

Behavioral Health & Social Service Providers

501 S Rancho Dr Ste D19, Las Vegas, NV 89106-4832

PECOS Enrollment

Based on the most recent information from CMS, provider Angel Hearts Mental Health does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1285294751
Provider Type
Organization
Full Name
Angel Hearts Mental Health

Subpart
No
Enumeration Date
6/17/2019
Last Updated
6/17/2019

Contact Information

Practice Location

501 S Rancho Dr Ste D19, Las Vegas, NV 89106-4832

(702) 767-0361

(702) 553-3484

Mailing Location

501 S Rancho Dr Ste D19, Las Vegas, NV 89106-4832

(702) 767-0361

(702) 553-3484

Authorized Official

Merrick, Karsten Leigh (Ceo)

(702) 767-0361

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 251B00000X	Description Case Management Agencies	License Unlisted Issuer
Code 261QM0850X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QM0855X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Angel Hearts Mental Health

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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